Active NPI
Devin Waterhouse, LISW
- Clinical Social Worker
- Johnston, IA
National Provider Identifier
1538836614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108217
- Practice address
- 9105 Northpark Dr
Johnston, IA 50131-4807 - Phone
- (515) 984-0225
- Fax
- (515) 984-0226
- NPI assigned
- Aug 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108217 | IA | Primary |
Addresses
Primary practice location
9105 Northpark Dr
Johnston, IA 50131-4807
Mailing address
9105 Northpark Dr
Johnston, IA 50131-4807
Phone (515) 984-0225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 14, 2025 through Oct 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108217 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grapevine Clinical LLC | Clinical | Current | Accepting new patients |
| Willow Grove Therapy Group LLC | Clinical | Past | Accepting new patients |
| Julie McClatchey, Lisw, PC | Past | Accepting new patients |
Locations
606 Walnut St
Ste 1610
Des Moines, IA 50309
Phone (515) 360-0034
431 28th St
Ste 205
Des Moines, IA 50312
Phone (515) 241-4447
4949 Pleasant St
Ste 104
West Des Moines, IA 50266
Phone (515) 369-0034
Interoperability endpoints
- https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- West Des Moines, IA
- NPI 1952837809
-
- Adult Mental Health Clinic/Center
- West Des Moines, IA
- NPI 1205506458
-
- Clinical Psychologist
- Johnston, IA
- NPI 1659873727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1538836614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 NORTHPARK DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501314807",
"telephone_number": "515-984-0225",
"fax_number": "515-984-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 NORTHPARK DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501314807",
"telephone_number": "515-984-0225",
"fax_number": "515-984-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERHOUSE",
"first_name": "DEVIN",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "108217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.